| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $193.29 | $293.58 | $388.87 | |
BCBS
| Professional | $188.69 | $271.50 | $399.13 | |
Cigna
| Professional | $207.36 | $331.36 | $615.91 | |
Medcost
| Professional | $230.49 | $259.97 | $781.03 | |
Molina
| Professional | $31.82 | $237.83 | $392.08 | |
United
| Professional | $252.04 | $339.53 | $740.10 |